Complaint Deficiency

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour

Harm: Minimal harm or potential for actual harm

Scope: Some

Automatic sprinkler systems that have been maintained in working order

Harm: Minimal harm or potential for actual harm

Scope: Some

Corridor and hallway doors that block smoke

Harm: Minimal harm or potential for actual harm

Scope: Few

Smoke barrier doors that can resist smoke for at least 20 minutes

Harm: Minimal harm or potential for actual harm

Scope: Some

A fire alarm system that can be heard throughout the facility

Harm: Minimal harm or potential for actual harm

Scope: Many

Automatic sprinkler systems that have been maintained in working order

Harm: Minimal harm or potential for actual harm

Scope: Many

Properly installed electrical wiring and equipment

Harm: Minimal harm or potential for actual harm

Scope: Few

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for

Harm: Potential for minimal harm

Scope: Some

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents

Harm: Minimal harm or potential for actual harm

Scope: Some

Post nurse staffing information/data on a daily basis

Harm: Potential for minimal harm

Scope: Some

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action

Harm: Minimal harm or potential for actual harm

Scope: Few

A two-hour-resistant firewall in common walls

Harm: Minimal harm or potential for actual harm

Scope: Some

Proper stairway enclosures and vertical shafts

Harm: Minimal harm or potential for actual harm

Scope: Some

Exits that are accessible at all times

Harm: Minimal harm or potential for actual harm

Scope: Some

Ensure the activities program is directed by a qualified professional

Harm: Minimal harm or potential for actual harm

Scope: Some

Provide housekeeping and maintenance services

Harm: Minimal harm or potential for actual harm

Scope: Some

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene

Harm: Minimal harm or potential for actual harm

Scope: Few

Store, cook, and serve food in a safe and clean way

Harm: Minimal harm or potential for actual harm

Scope: Many

Have a program that investigates, controls and keeps infection from spreading

Harm: Minimal harm or potential for actual harm

Scope: Some

Hospital Acquired Conditions

Blood infection from a catheter in a large vein

This Hospital:

0.661%

State:

0.547%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or moreSurvey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

Here:

4%

Wyoming:

4%

Usually

This Hospital:

19%

State:

18%

Always

This Hospital:

77%

State:

78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:

5%

Wyoming:

4%

Usually

Here:

18%

Wyoming:

16%

Always

Here:

77%

State:

80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:

7%

Wyoming:

7%

Usually

This Hospital:

18%

State:

22%

Always

This Hospital:

75%

Wyoming:

71%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:

7%

State:

7%

Usually

Here:

23%

State:

24%

Always

Here:

70%

Wyoming:

69%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:

17%

Wyoming:

17%

Usually

This Hospital:

16%

State:

19%

Always

Here:

67%

State:

64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Hospital:

5%

Wyoming:

8%

Usually

Here:

16%

State:

19%

Always

Here:

79%

Wyoming:

73%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:

8%

State:

8%

Usually

Here:

31%

State:

32%

Always

Here:

61%

Wyoming:

60%

Were patients given information about what to do during their recovery at home?

Yes

Here:

88%

Wyoming:

86%

No

Here:

12%

Wyoming:

14%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:

8%

State:

9%

7 or 8

This Hospital:

26%

Wyoming:

26%

9 or 10

Here:

66%

State:

65%

Would patients recommend the hospital to friends and family?

No

This Hospital:

4%

State:

5%

Yes, probably

This Hospital:

30%

State:

28%

Yes, definitely

Here:

66%

Wyoming:

67%

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain